Individual
DR. RICHARD ERNEST FORTUNATO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DR.
Contact information
Practice address
15200 E COLFAX AVE, AURORA, CO 80011-6965
(720) 988-3755
(303) 344-2386
Mailing address
PO BOX 984, NEDERLAND, CO 80466-0984
(720) 988-3755
(303) 344-2386
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
15806
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
15806
STATE LIS
CO
Enumeration date
06/28/2013
Last updated
06/28/2013
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